MERRILLVILLE, IN —
OSHA Injury Report: 0370 MERRILLVILLE IN WHSE
Injury · Other recordable case
At a glance
On , an injury at 0370 MERRILLVILLE IN WHSE in MERRILLVILLE, IN 46410 resulted in other recordable case. Employee was fORKLIFT DRIVER in wholesale Grocer.
Where did this happen?
- Establishment
- 0370 MERRILLVILLE IN WHSE
- Parent company
- COSTCO WHOLESALE
- Street
- 1310 E 79TH AVE
- City
- MERRILLVILLE
- State
- IN
- ZIP
- 46410
- On-site location
- RECEIVING
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
tagging pallets
What happened
was tagging pallets on dock was reaching when shoulder partially dislocated
Injury or illness
Unknown Shoulder Left Side
Object or substance involved
Medical Condition Idiopathic
Summary line
Strain Sprain Shoulder Left Side Medical Condition Idiopathic Medical Condition Idiopathic
Employee and industry
- Job description
- FORKLIFT DRIVER
- SOC code
- 53-7051 — Industrial Truck and Tractor Operators
- NAICS code
- 455211 — Wholesale Grocer
- NAICS vintage
- 2022
- Avg employees
- 324
- Total hours worked
- 465194
- EIN
- 911223280
- Establishment ID
- 1378465
- Employer case #
- WC80DG7979
When (timing detail)
- Date of incident
- Shift started
- 14:30
- Filing year
- 2024
- Submitted
- 28FEB2025:21:41:00
Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2024. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.